Written by For over a century, the Dominican Sisters of Hawthorne have operated a free cancer hospice in New York, caring for the terminally ill without government funding or insurance. But a new state law requiring long-term care facilities to comply with transgender ideology has put the sisters’ religious mission at risk, forcing them to sue the state to protect their right to operate according to Catholic teachings.
WHY IT MATTERS
This case highlights the growing tension between expanding LGBTQ rights and the ability of religious organizations to uphold their beliefs, especially when providing essential charitable services. It raises questions about the limits of state power to enforce ideological conformity, even on institutions that serve the most vulnerable populations at no cost to taxpayers.
THE DETAILS
New York’s 2024 LGBTQ Long-Term Care Facility Residents’ Bill of Rights mandates that all nursing homes and long-term care facilities in the state treat residents according to self-declared gender identity, use preferred pronouns, and structure operations around transgender ideology – regardless of the religious convictions of the providers. Facilities that refuse face escalating fines, license revocation, court orders, and even jail time for ‘willful’ noncompliance. In March 2024, the New York Department of Health sent the Dominican Sisters a ‘Dear Administrator’ letter outlining the state’s demands. On April 6, 2026, the Dominican Sisters filed a federal lawsuit seeking protection for their religious freedom and ability to continue their charitable hospice ministry.
With my whole heart I have sought You; Oh, let me not wander from Your commandments!
Psalm 119:10
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